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基于Team STEPPS模型的应急管理在1例老年肺癌脊柱转移瘤病人突发硬膜外血肿护理中的应用
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作者 樊凯艳 鲁建丽 《全科护理》 2025年第6期1181-1184,共4页
总结基于Team STEPPS模型的应急管理在1例老年肺癌脊柱转移瘤病人突发硬膜外血肿护理中的应用经验。主要内容为:基于Team STEPPS模型构建Spine Team管理小组;实现资源共享,促进有效沟通;系统化管理保障病人安全;精细化护理预防截瘫相关... 总结基于Team STEPPS模型的应急管理在1例老年肺癌脊柱转移瘤病人突发硬膜外血肿护理中的应用经验。主要内容为:基于Team STEPPS模型构建Spine Team管理小组;实现资源共享,促进有效沟通;系统化管理保障病人安全;精细化护理预防截瘫相关并发症;三位一体康复训练,促进病人神经功能恢复;出院宣教及延续性护理等。经过积极的诊治和精心的护理,病人入院第55天病情稳定,顺利转康复医院继续治疗。 展开更多
关键词 team STEPPS模型 脊柱转移瘤 脊柱术后症状性硬膜外血肿 护理 管理
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基于TEAM准则的我国肿瘤多学科诊疗模式有效性评估工具开发与应用
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作者 毛一晴 《中国卫生质量管理》 2025年第4期46-52,共7页
目的基于英国国家癌症行动小组提出的TEAM准则,开发适用于我国的肿瘤多学科诊疗(MDT)模式有效性评估工具并进行应用,为肿瘤MDT模式可持续发展提供参考。方法采用文献分析法,经研究小组讨论初步构建评估条目,通过两轮专家咨询确定评估内... 目的基于英国国家癌症行动小组提出的TEAM准则,开发适用于我国的肿瘤多学科诊疗(MDT)模式有效性评估工具并进行应用,为肿瘤MDT模式可持续发展提供参考。方法采用文献分析法,经研究小组讨论初步构建评估条目,通过两轮专家咨询确定评估内容,并进行信效度检验。对33个肿瘤MDT团队的491名成员开展问卷调查,了解MDT模式有效性现状。结果评估工具包括一级维度5个、二级维度17个、三级评价条目36个。评估工具效标效度r值均>0.80(P<0.05),结构效度KMO值为0.849(P<0.001),内部一致性Cronbach’sα系数为0.920。65.6%的MDT成员认为肿瘤MDT模式有效性处于中等水平,一级维度中团队组成(59.5%)、会议组织(73.3%)、以患者为中心的临床决策(63.1%)和二级维度中会议后期(56.2%)、以患者为中心的照护(58.1%)等有效性处于中低水平。结论构建的肿瘤MDT模式有效性评估工具具有创新性和可行性。应进一步完善制度和标准,加强成本效益分析,关注群体决策行为,规范质控体系,深化“以患者为中心”的服务内涵。 展开更多
关键词 肿瘤 多学科诊疗 有效性评估 team准则
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Exploring a novel approach to assessing surgical team collaboration:Evidence of brain activity synchronization
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作者 Shuyi(Kiana)Wang Ghazal Hashemi +1 位作者 Yao Zhang Bin Zheng 《Laparoscopic, Endoscopic and Robotic Surgery》 2025年第1期6-12,共7页
Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its as... Objective:Interpersonal brain synchronization(IBS)has emerged as a significant concept in understanding collaborative team dynamics,with functional near-infrared spectroscopy(fNIRS)proving to be a vital tool in its assessment.This review aims to collate and analyze the literature on the application of fNIRS in various team settings,emphasizing its potential utility in surgical environments.Methods:A thorough search and screening process across multiple databases resulted in 17 studies being reviewed,with a focus on the utilization of fNIRS to measure IBS in different collaborative tasks.This review examined the tasks employed,participant demographics,organizational structures of teams,methodologies for IBS measurement,and correlations between brain synchronization and behavioral measurements.Results:fNIRS emerged as a non-invasive,cost-effective,and portable tool,predominantly used to assess IBS in pair-based tasks with a variety of participant demographics.Wavelet transform coherence was the primary method used for measuring synchronization,particularly in the prefrontal brain region.A consistent correlation was found between increased brain synchronization and enhanced team performance,underscoring the potential of fNIRS in understanding and optimizing team dynamics.Conclusion:This review establishes fNIRS as a promising tool for investigating the neural mechanisms underlying team cooperation,providing invaluable insights for potential applications in surgical settings.While acknowledging the limitations in the current literature,the review highlights the need for further research with larger sample sizes and varied task complexities to solidify the understanding of IBS and its impact on team performance.The ultimate goal is to leverage fNIRS in assessing and improving surgical team dynamics,contributing to improved patient outcomes and safety. 展开更多
关键词 Functional near-infrared spectroscopy Interpersonal brain synchronization team cognition team performance Surgical team training
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Role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation management
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作者 Han Cheng Lei Xia +3 位作者 Hao-Zhe Yang Zhan-Xu Wei Yan-Tong Zhang Jing Yang 《World Journal of Transplantation》 2025年第4期503-506,共4页
This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct adv... This article comments on the research by Zhang et al on the role of advanced heart failure and transplant teams in extracorporeal membrane oxygenation(ECMO)management.The study by Zhang et al indicates that direct advanced heart failure and transplant involvement improves survival in ECMO patients,especially those on veno-arterial ECMO.However,the optimal approach varies due to multiple factors.This article discusses the clinical implications,research design limitations,and future directions to enhance ECMO care. 展开更多
关键词 Advanced heart failure and transplant team Extracorporeal membrane oxygenation Veno-arterial extracorporeal membrane oxygenation Veno-venous extracorporeal membrane oxygenation Multidisciplinary team collaboration
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Research on the Construction Path and Practice of“Dual-Qualification and Dual-Competence”Teaching Teams in Higher Vocational Colleges-A Case Study of the Nursing Professional Teacher Team of Guangzhou Huanan Business College
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作者 Xiaojun Liu Shuangli Huang Yanfang Qiu 《Journal of Contemporary Educational Research》 2025年第9期144-149,共6页
Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-dept... Against the background of the in-depth reform of vocational education,the construction of“dual-qualification and dual-competence”teaching teams has become increasingly prominent as a core link to promote the in-depth development of industry-education integration and improve the quality of technical and skilled talent training.Due to its strong practical characteristics,the nursing major has higher requirements for teachers’“dual-qualification and dual-competence”(systematic theoretical teaching ability and clinical practical operation ability).Taking the Innovation Team for Education and Teaching of Nursing Professional Group of Guangzhou Huanan Business College as the research object,this paper systematically analyzes the practical paths constructed by the team in the construction of“dual-qualification and dual-competence”,such as the“internal training and external introduction”teacher optimization mechanism,the“school-hospital collaboration”practical training platform,and the“quantitative+qualitative”evaluation system.It also deeply discusses the structural contradictions faced in the construction process and the breakthrough strategies.The purpose is to provide a referenceable and promotable practical model for the construction of teaching staff in higher vocational nursing majors and contribute to the high-quality development of vocational education. 展开更多
关键词 Higher vocational nursing Dual-qualification and dual-competence Teaching team Industry-education integration
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The Application of Infusion Project Team in the Safety Risk Management of Indwelling Needle Use
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作者 Liumei Wei Wenjing Li +2 位作者 Huiyu Zhou Siyi Xian Xuemei Xi 《Journal of Clinical and Nursing Research》 2025年第1期293-298,共6页
Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hosp... Objective: To explore the effectiveness of applying an infusion project team in the safety risk management of indwelling needle use. Methods: A total of 200 patients who used intravenous indwelling needles during hospital treatment from July to October 2022 were selected and randomly divided into an observation group and a control group, with 100 patients in each group. Patients in the control group received routine nursing methods, while those in the observation group were managed using the safety risk management method of the infusion project team. The tube blocking rate and tube removal rate were compared between the two groups. Results: The one-time puncture success rate and the standard implementation rate of intravenous indwelling needle use in the observation group were significantly higher than those in the control group. The total incidence of complications in the observation group was significantly lower than that in the control group, and patient satisfaction in the observation group was notably higher, with statistically significant differences (P < 0.05). Conclusion: The application of an infusion project team in the safety risk management of indwelling needle use is effective and has positive impacts on improving the one-time puncture success rate, the standard implementation rate of intravenous indwelling needle use, and patient satisfaction. It is a practice worth promoting in clinical settings. 展开更多
关键词 Infusion project team Indwelling needle use Safety risk management APPLICATION
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Research on the Supply Mechanism of Palliative Care Multidisciplinary Teams from the Perspective of Pluralistic Synergy Theory
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作者 Xinyan Zhang Yinyin Lv +2 位作者 Guijun Lu Peng Yue Jinxia Liu 《Journal of Clinical and Nursing Research》 2025年第9期200-209,共10页
Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodolo... Objective:To explore the experiences of palliative care multidisciplinary teams from the perspective of pluralistic synergy theory,aiming to enhance team collaboration.Method:Utilizing a qualitative research methodology,we conducted in-depth interviews with 15 palliative care team members to collect data.Results:The operational framework of palliative care multidisciplinary teams under pluralistic synergy theory involves:enhancing collaboration among team members;developing a comprehensive management model for the team;rationalizing the allocation of work tasks and durations;improving team communication and interaction through effective communication mechanisms and platforms;cultivating skilled professionals;and establishing a robust health record management system.Conclusion:The operational mechanism,informed by pluralistic synergy theory,advances the development of palliative care. 展开更多
关键词 Palliative care Multidisciplinary teams Pluralistic synergy theory Supply mechanism
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Construction and Implementation of Team Task Mechanism for Software Engineering Courses Empowered by AI and Collaborative Competition——A Case Study of Software Project Management Course
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作者 Jun Guo Yixian Liu +2 位作者 Xiaochun Yang Dongming Chen Zhiliang Zhu 《计算机教育》 2025年第3期48-54,共7页
Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project man... Under the background of training practical compound talents in software engineering,this paper analyzes the problems existing in the current teaching of software engineering courses represented by software project management,puts forward the team task mechanism of software engineering courses with AI empowerment and cooperation and competition,develops a unified project management platform to support the implementation of team tasks,and proves the effectiveness of the scheme through the results obtained. 展开更多
关键词 Artificial intelligence Collaboration and competition team tasks Software project management
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Tentative exploring the construction of experimental technician team of large-scale instrument platforms in universities-Taking Peking University School of Pharmaceutical Sciences as an example
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作者 Yuan Wang Xun Wang 《Journal of Chinese Pharmaceutical Sciences》 2025年第4期392-399,共8页
This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceuti... This study examined the development of technician teams on large-scale instrument platforms in universities,using the State Key Laboratory of Natural and Biomimetic Drugs in the Peking University School of Pharmaceutical Sciences as a case study.Data were collected through questionnaire surveys and interviews conducted in 2017,followed by a questionnaire survey in 2023,offering both subjective and objective insights.The evolution of the platform’s technician team over the past 5 years was analyzed,highlighting key experiences and identifying ongoing challenges.Recommendations to enhance technician team development include recruiting skilled faculty,clearly defining job responsibilities,and refining the assessment and incentive systems. 展开更多
关键词 Large-scale instrument platform Experimental technician team Scientific research management
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Study on the Impact of Constructing“Double-Qualified”Teacher Teams on the Quality of Talent Cultivation in Higher Vocational Tourism Majors
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作者 Yun Zhong 《Journal of Contemporary Educational Research》 2025年第10期230-237,共8页
Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-... Against the backdrop of the high-quality development of vocational education,the construction of“double-qualified”teacher teams has shifted from focusing on quantity growth to emphasizing the improvement of“double-qualified”competencies.How to strengthen the quality-oriented construction of“double-qualified”teacher teams,give full play to the role of“double-qualified”teachers,promote the construction and teaching reform of tourism majors,and enhance the quality of tourism talent cultivation have become key issues faced by higher vocational tourism majors.Taking higher vocational tourism majors as an example,this paper analyzes the problems encountered in the construction of tourism-related“double-qualified”teacher teams,puts forward strategies for such construction,and explores the impact of building“double-qualified”teacher teams on the quality of talent cultivation in tourism majors.It aims to provide references for the coordinated improvement of the construction of“double-qualified”teacher teams and the quality of talent cultivation in higher vocational tourism majors. 展开更多
关键词 “Double-qualified”teacher teams CONSTRUCTION Higher vocational tourism majors Talent cultivation Impact
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Workplace territorial behaviors and employee knowledge sharing: Team identification mediation and task interdependence moderation
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作者 Ziyuan Meng Yongjun Chen Hui Wang 《Journal of Psychology in Africa》 2025年第4期489-496,共8页
This study tested a multilevel model of the workplace territorial behaviors and employees’knowledge sharing relationship,with team identification serving as a mediator and task interdependence as a moderator.Data wer... This study tested a multilevel model of the workplace territorial behaviors and employees’knowledge sharing relationship,with team identification serving as a mediator and task interdependence as a moderator.Data were collected from 253 employees(females=128,mean age=28.626,SD=6.470)from 40 work teams from different industries in China.Path analysis results indicated that workplace territorial behaviors were associated with lower employee knowledge sharing.Team identification enhanced employee knowledge sharing and partially mediated the relationship between workplace territorial behaviors and employee knowledge sharing.Task interdependence enhanced knowledge sharing and strengthened the relationship between team identification and knowledge sharing.Thesefindings extend the proposition of social information processing theory by revealing the mediating role of team identification in the relationship between workplace territorial behaviors and knowledge sharing,and clarifying the boundary conditions of team identification.Practical implications of thesefindings include a need for managers to foster collaborative atmospheres,design interdependent tasks,and mitigate territorial behaviors to enhance team identification and knowledge sharing. 展开更多
关键词 workplace territorial behaviors team identification knowledge sharing task interdependence social information processing theory
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A Practical Study on the Construction of“Dual-Qualified”Teacher Teams in Vocational Undergraduate Education Empowered by Digital Technology
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作者 Huajun Wu 《Journal of Contemporary Educational Research》 2025年第8期219-228,共10页
While the digital transformation brings new development opportunities to the field of vocational education,it also makes it face unprecedented challenges.In order to adapt to the trend of digital transformation,vocati... While the digital transformation brings new development opportunities to the field of vocational education,it also makes it face unprecedented challenges.In order to adapt to the trend of digital transformation,vocational undergraduate colleges need to improve their school-running level and promote educational reform by building“dual-qualified”teacher teams.Based on this,the author first analyzes the construction requirements of“dual-qualified”teacher teams and the common problems in specific operations,such as the weak practical teaching ability of full-time teachers,the imperfect teacher growth mechanism,and the insufficient in-depth school-enterprise cooperation.Then,aiming at the actual problems,it discusses the advantages and practical paths of building“dual-qualified”teacher teams in vocational undergraduate education empowered by digital technology,aiming to provide suggestions for the high-quality development of vocational education. 展开更多
关键词 Digital technology empowerment Vocational undergraduate education “Dual-qualified”teachers Teacher team construction
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已经、正在和即将创造历史的Team Spirit
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作者 Ricky 《电子竞技》 2025年第10期80-81,共2页
2021年10月17日,在罗马尼亚首都布加勒斯特的罗马尼亚国家体育场,从TI10败者组决赛杀出重围的Team Spirit以3∶2的比分爆冷战胜PSG.LGD战队,队史首次捧起TI冠军神盾。在Na’Vi战队夺得首届国际邀请赛冠军后,Spirit成为时隔十年后,第二... 2021年10月17日,在罗马尼亚首都布加勒斯特的罗马尼亚国家体育场,从TI10败者组决赛杀出重围的Team Spirit以3∶2的比分爆冷战胜PSG.LGD战队,队史首次捧起TI冠军神盾。在Na’Vi战队夺得首届国际邀请赛冠军后,Spirit成为时隔十年后,第二支夺得TI冠军的东欧赛区战队。 展开更多
关键词 布加勒斯特 TI10 team Spirit
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A Freudian Group Psychology Perspective on the Psychological Mechanisms in South Korean Elite Sports Teams:Implications for Mental Health
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作者 Hyunkyun Ahn Yeon-Hee Choi Young-Vin Kim 《International Journal of Mental Health Promotion》 2025年第4期451-468,共18页
Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze ho... Objectives:In this study,we examined the psychological impact of hierarchical and authoritarian structures in elite sports teams in South Korea on the ego formation and mental health of athletes.We aimed to analyze how these environments shape psychological well-being in athletes,drawing on Freud’s group psychology theory,while integrating perspectives from the Self-DeterminationTheory(SDT)and Social Identity Theory(SIT).Methods:We applied a qualitative case-study approach,with data collected through in-depth interviews with eight retired elite table tennis players from South Korea.These athletes shared their experiences with psychological mechanisms in their teams and how those mechanisms impacted their mental health throughout their careers.We analyzed the collected data using thematic analysis.Results:The investigated psychological mechanisms significantly influenced the ego development and psychological well-being in athletes.In hierarchical and authoritarian environments,identification and ego idealization suppressed the autonomy of the athletes.Hierarchical order and obedience to authority figures exert significant pressure on athletes to conform,impeding the development of an independent ego.Furthermore,group pressure exacerbates ego erosion and psychological stress,while corporal punishment reinforces psychological pressure and hinders ego integrity.The integration of the SDT highlights the need for autonomy-supportive environments to mitigate such risks,while the SIT emphasizes balancing individual identity with group cohesion to address identity conflicts and psychological tension.Conclusion:Hierarchical structures and authoritarian dynamics in South Korean elite sports teams critically suppress autonomy in athletes,leading to psychological distress and identity conflicts.This study highlights the urgent need for systemic interventions to reform coaching practices and foster autonomysupportive environments.These results contribute to the global discourse on the mental health of athletes in elite sports and offer actionable strategies for improving long-term well-being.Finally,this study provides practical recommendations adaptable to diverse cultural and sporting contexts,enhancing athlete mental health worldwide. 展开更多
关键词 Ego idealization elite sports teams freud’s group psychology group pressure identification mental health
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BOPPPS有效教学模型在丰田TEAM-GP课程中的应用 被引量:2
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作者 刘备 《汽车实用技术》 2025年第3期145-149,共5页
该研究主要探讨BOPPPS有效教学模型在丰田TEAM-GP课程中的应用与实践的效果。首先对BOPPPS模型和丰田TEAM-GP课程进行了解析,随后依托BOPPPS有效教学模型开展了TEAM-GP课程的教学设计,最后通过实践验证了BOPPPS有效教学模型在丰田TEAMG... 该研究主要探讨BOPPPS有效教学模型在丰田TEAM-GP课程中的应用与实践的效果。首先对BOPPPS模型和丰田TEAM-GP课程进行了解析,随后依托BOPPPS有效教学模型开展了TEAM-GP课程的教学设计,最后通过实践验证了BOPPPS有效教学模型在丰田TEAMGP课程中的合理性。文章采用了实验研究法,旨在全面评估模型在实际教学过程中的应用成效,结果表明,BOPPPS有效教学模型能显著提升课程参与度、学习动机以及知识掌握程度。基于实验结果,提出了一系列关于如何有效使用BOPPPS教学模型的建议。 展开更多
关键词 BOPPPS有效教学模型 丰田team-GP课程 课程参与度 学习效果提升 教学模式创新
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Ductal adenocarcinoma of the prostate or seminal vesicle adenocarcinoma:An multi-disciplinary team(MDT)case report and literature review 被引量:1
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作者 Hao Ning Yufeng Song +2 位作者 Haihu Wu Dexuan Gao Jiaju Lyu 《Current Urology》 2022年第2期107-113,共7页
We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the who... We introduced a 61-year-old male with ductal adenocarcinoma of the prostate who underwent a tortuous diagnosis and treatment.Multi-disciplinary team meetings organized by our hospital have shown great value in the whole process.The patient presented with gross hematuria accompanied by frequent urination initially,and was diagnosed with ductal adenocarcinoma of the prostate involving right seminal vesicle gland and urethra by urethroscopy biopsy.The clinical stage of tumor was T3bN0M0.After 4 cycles of neoadjuvant chemotherapy,the tumor shrank significantly and the patient underwent a laparoscopic radical prostatectomy.But the patient declined to continue chemotherapy postoperatively.After 10 months,the serum prostatic specific antigen increased to 0.05 ng/mL,and multiple metastases were found in the patient's bilateral lungs.However,an unexpected diagnosis of seminal vesicle adenocarcinoma was put forward from another hospital after supplementary pathologic immunohistochemical examination.Then,after careful discussion and demonstration by our multi-disciplinary team experts,we insisted on the diagnosis of ductal adenocarcinoma of the prostate and suggested that the original regimen of chemotherapy should be continued.Up-to-date,14 months after the operation,the patient continues to survive while undergoing ongoing active treatment as recommended. 展开更多
关键词 Ductal adenocarcinoma multi-disciplinary team Neoadjuvant chemotherapy Prostate cancer Seminal vesicle adenocarcinoma SURGERY
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基于TeamSTEPPS的出院准备联动干预在老年缺血性卒中患者中的应用
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作者 李家乐 洪东好 许敏 《老年医学研究》 2024年第3期21-25,共5页
目的探讨基于Team STEPPS的出院准备联动干预在老年缺血性卒中患者中的应用。方法选取2022年10月—2023年9月在安徽医科大学附属巢湖医院神经内科住院的106例老年缺血性卒中患者为研究对象,按入院时间将2022年10月—2023年3月入院的51... 目的探讨基于Team STEPPS的出院准备联动干预在老年缺血性卒中患者中的应用。方法选取2022年10月—2023年9月在安徽医科大学附属巢湖医院神经内科住院的106例老年缺血性卒中患者为研究对象,按入院时间将2022年10月—2023年3月入院的51例患者作为对照组,予以常规出院护理及随访;2023年4月—2023年9月入院的55例患者为干预组,实施基于Team STEPPS的出院准备联动干预。比较两组患者的出院准备度、主要照顾者过渡期的准备情况以及出院90 d患者日常生活活动能力、不良事件发生及非计划再入院情况。结果干预组患者出院准备度评估量表总分及4个维度得分、主要照顾者过渡期准备情况评估量表总分及8个维度得分均高于对照组,差异有统计学意义(P均<0.01)。干预组患者出院90 d日常生活活动能力评分为55(40,65)分,高于对照组的40(20,55)分,差异有统计学意义(P<0.01)。干预组患者出院90 d发生跌倒/坠床2例、压力性损伤3例、非计划性拔管4例,均低于对照组的8、10、11例,差异有统计学意义(P均<0.05)。干预组患者出院90 d非计划再入院2例,少于对照组的8例,差异有统计学意义(P=0.046)。结论基于Team STEPPS的出院准备联动干预可提升老年缺血性卒中患者出院准备度,改善主要照顾者过渡期的准备情况,提高患者出院90 d后日常生活活动能力,降低不良事件发生及非计划再入院,为老年缺血性卒中患者出院准备提供一定的临床依据。 展开更多
关键词 team STEPPS 缺血性卒中 出院准备 老年人
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Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia 被引量:4
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作者 Xi-Fang Wei Ting Zhu Qiao Xia 《World Journal of Clinical Cases》 SCIE 2024年第20期4166-4173,共8页
BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and co... BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU. 展开更多
关键词 Intensive care unit Severe pneumonia Nursing team Communication and collaboration Respiratory mechanics indicators Blood gas analysis indicators Serum inflammatory factors
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Application of multidisciplinary team-based integrated traditional Chinese medicine and Western medicine in rotator cuff injury patients undergoing arthroscopic surgery 被引量:1
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作者 Di-Ping Cao Lei Yin +1 位作者 Yi-Fei Wang Bing-Li Liu 《World Journal of Clinical Cases》 SCIE 2024年第19期3767-3775,共9页
BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to... BACKGROUND Arthroscopic rotator cuff repair is a common surgical treatment for rotator cuff injuries(RCIs).Although this procedure has certain clinical advantages,it requires rehabilitation management interventions to ensure therapeutic efficacy.AIM To investigate the effect of integrated traditional Chinese medicine and Western medicine(TCM-WM)under the multidisciplinary team(MDT)model on the postoperative recovery of patients undergoing arthroscopic surgery for RCIs.METHODS This study enrolled 100 patients who underwent arthroscopic rotator cuff repair for RCIs at the Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine between June 2021 and May 2024.They were divided into a control group(n=48)that received routine rehabilitation treatment and an experimental group(n=52)that received TCM-WM under the MDT model(e.g.,acupuncture,TCM traumatology and orthopedics,and rehabilitation).The results of the Constant–Murley Shoulder Score(CMS),Visual Analogue Scale(VAS),Shoulder Pain and Disability Index(SPADI),muscular strength evaluation,and shoulder range of motion(ROM)assessments were analyzed.RESULTS After treatment,the experimental group showed significantly higher CMS scores in terms of pain,functional activity,shoulder joint mobility,and muscular strength than the baseline and those of the control group.The experimental group also exhibited significantly lower VAS and SPADI scores than the baseline and those of the control group.In addition,the experimental group showed significantly enhanced muscular strength(forward flexor and external and internal rotator muscles)and shoulder ROM(forward flexion,abduction,and lateral abduction)after treatment compared with the control group.CONCLUSION TCM-WM under the MDT model improved shoulder joint function,relieved postoperative pain,promoted postoperative functional recovery,and facilitated the recovery of muscular strength and shoulder ROM in patients with RCIs who underwent arthroscopic rotator cuff repair. 展开更多
关键词 Multidisciplinary team model Integrated traditional Chinese medicine and Western medicine Rotator cuff injury ARTHROSCOPY Arthroscopic surgery
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Multi-disciplinary seismic resilience modeling for developing mitigation policies and recovery planning 被引量:1
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作者 Milad Roohi Saeid Ghasemi +5 位作者 Omar Sediek Hwayoung Jeon John W.van de Lindt Martin Shields Sara Hamideh Harvey Cutler 《Resilient Cities and Structures》 2024年第2期66-84,共19页
The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling.These data enable and inform mitigation and recovery planning decisions prior to... The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling.These data enable and inform mitigation and recovery planning decisions prior to and following damaging events such as earthquakes.This paper presents a multi-disciplinary seismic resilience mod-eling methodology to assess the vulnerability of the built environment and economic systems.This methodology can assist decision-makers with developing effective mitigation policies to improve the seismic resilience of com-munities.Two complementary modeling strategies are designed to examine the impacts of scenario earthquakes from a combined engineering and economic perspective.The engineering model is developed using a probabilis-tic fragility-based modeling approach and is analyzed using Monte Carlo(MC)simulations subject to seismic multi-hazard,including simulated ground shaking and resulting liquefaction of the soil,to quantify the physical damage to buildings and electric power substations(EPS).The outcome of the analysis is subsequently used as input to repair and recovery models to quantify repair cost and recovery time metrics for buildings and as input to functionality models to estimate the functionality of individual buildings and substations by accounting for their interdependency.The economic model consists of a spatial computable general equilibrium(SCGE)model that aggregates commercial buildings into sectors for retail,manufacturing,services,etc.,and aggregates residential buildings into a wide range of household groups.The SCGE model employs building functionality estimates to quantify the economic losses.The outcomes of this integrated modeling consist of engineering and economic impact metrics,which are used to investigate mitigation actions to help inform a community on approaches to achieve its resilience goals.An illustrative case study of Salt Lake County(SLC),Utah,developed through an extensive collaborative partnership and engagement with SLC officials,is presented.The results demonstrate the effectiveness of the proposed methodology in quantifying the loss and functional recovery of infrastructure systems,the impacts on capital stock,employment,and household income and the effect of various mitigation strategies in reducing the losses and functional recovery time subject to earthquakes with varying intensities. 展开更多
关键词 Community resilience Infrastructure systems multi-disciplinary Mitigation policy Functional recovery
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